Journal Article

Case Management of Human Immunodeficiency Virus—Infected Injection Drug Users: A Case Study in Rio de Janeiro, Brazil

Mônica Malta, Claudia Carneiro-da Cunha, Deanna Kerrigan, Steffanie A. Strathdee, Maristela Monteiro and Francisco Inácio Bastos

in Clinical Infectious Diseases

Published on behalf of Infectious Diseases Society of America

Volume 37, issue Supplement_5, pages S386-S391
Published in print December 2003 | ISSN: 1058-4838
Published online December 2003 | e-ISSN: 1537-6591 | DOI: http://dx.doi.org/10.1086/377546
Case Management of Human Immunodeficiency Virus—Infected Injection Drug Users: A Case Study in Rio de Janeiro, Brazil

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The provision of care and support to persons living with human immunodeficiency virus (HIV) in Brazil who also use drugs and/or alcohol represents special challenges because of the combined effects of addiction, poverty, stigma, and discrimination. This paper presents details on a program providing both clinic- and field-based care to HIV-infected injection drug users, highlighting the use of a specialized case management approach to address the clinical and psychosocial needs of this population. This program includes both a mobile case management team that fosters group discussions and provides individual counseling, and provision of medical consultations at 2 major drug treatment centers in Rio de Janeiro. The article also describes the experience of working with injection drug users who regularly attend an outpatient clinic serving marginalized communities through the use of mutual self-help groups and specialized support groups to address to issue of adherence to antiretroviral therapies for the treatment of HIV/acquired immunodeficiency syndrome.

Journal Article.  3979 words. 

Subjects: Infectious Diseases ; Immunology ; Public Health and Epidemiology ; Microbiology

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